Provider Demographics
NPI:1902320294
Name:SAISATYA PHARMACY INC
Entity type:Organization
Organization Name:SAISATYA PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMBABU
Authorized Official - Middle Name:
Authorized Official - Last Name:KALAHASTHI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:248-635-4230
Mailing Address - Street 1:3246 LOUIS DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-5040
Mailing Address - Country:US
Mailing Address - Phone:248-635-4230
Mailing Address - Fax:646-490-9158
Practice Address - Street 1:G-6061 N SAGINAW RD
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:MI
Practice Address - Zip Code:48458-2438
Practice Address - Country:US
Practice Address - Phone:810-285-9952
Practice Address - Fax:646-490-9158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010112233336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy